Cardiovascular Research Centre, Australian Catholic University, Melbourne, Victoria, Australia.
J Clin Nurs. 2011 May;20(9-10):1236-44. doi: 10.1111/j.1365-2702.2010.03558.x.
To review and synthesise, systematically, the research findings regarding motivational interviewing and to inform education, research and practice in relation to cardiovascular health.
Motivational interviewing is designed to engage ambivalent or resistant clients in the process of health behaviour change, and it has been widely used in different clinical conditions such as substance abuse, dietary adherence and smoking cessation. Motivational interviewing has also been proposed as a method for improving modifiable coronary heart disease risk factors of patients.
Systematic review.
Eligible studies published in 1999-2009 were identified from the following databases: CINAHL, Medline, PsycINFO, Cochrane Library, EBSCO, Web of Science, Embase and British Nursing Index. A manual search was conducted of bibliographies of the identified studies and relevant journals. Two researchers independently reviewed the studies.
Four meta-analyses, one systematic review and three literature reviews of motivational interviewing and five primary studies of motivational interviewing pertaining to cardiovascular health were identified. Despite a dearth of primary studies in cardiovascular health settings, there appears to be strong evidence that motivational interviewing is an effective approach focusing on eliciting the person's intrinsic motivation for change of behaviour.
Motivational interviewing is an effective approach to changing behaviour. It offers promise in improving cardiovascular health status.
This review indicates that motivational interviewing is a useful method to help nurses improve health behaviour in people with coronary risk factors.
系统回顾和综合关于动机性访谈的研究结果，并为心血管健康相关的教育、研究和实践提供信息。
动机性访谈旨在使犹豫不决或抵触的患者参与健康行为改变的过程，已广泛应用于多种临床情况，如药物滥用、饮食依从性和戒烟。动机性访谈也被提议作为改善可改变的冠心病风险因素患者的方法。
系统综述。
从以下数据库中确定 1999 年至 2009 年发表的合格研究：CINAHL、Medline、PsycINFO、Cochrane 图书馆、EBSCO、Web of Science、Embase 和英国护理索引。对确定的研究和相关期刊的参考文献进行了手动搜索。两名研究人员独立审查了研究。
确定了四项关于动机性访谈的荟萃分析、一项系统评价和三项关于心血管健康的动机性访谈文献综述，以及五项关于心血管健康的动机性访谈的主要研究。尽管在心血管健康环境中缺乏主要研究，但似乎有强有力的证据表明，动机性访谈是一种有效的方法，侧重于引发行为改变的人的内在动机。
动机性访谈是一种改变行为的有效方法。它有望改善心血管健康状况。
这项综述表明，动机性访谈是一种有用的方法，可以帮助护士改善具有冠心病风险因素的人群的健康行为。
